DR. RUBA NICOLA M.D.
NPI 1760862171
Family Medicine in Irwin, PA

Q: What is Ruba Nicola's NPI number?

The NPI number for Ruba Nicola is 1760862171. It was assigned to this individual provider in the NPPES registry on June 2, 2015.

Q: What is Ruba Nicola's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ruba Nicola was last updated on September 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 02, 2015PECOS EnrolledAccepts Medicare Assignment

905 SPRUCE ST STE 201, IRWIN, PA 15642(724) 864-9595(724) 864-9860 Get Directions Write a Review

NPPES record last updated: September 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 17, 2022, Jan 24, 2020, May 15, 2019 (3 updates tracked since 2019).

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About Dr. Ruba Nicola M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RUBA NICOLA M.D. (NPI 1760862171) is an individual family medicine provider in Irwin, Pennsylvania, licensed in Pennsylvania (MD464225) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Magee Womens Hospital Of Upmc Health System, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1760862171

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. RUBA NICOLACredential: M.D.

Location Address905 SPRUCE ST STE 201Irwin, PA 15642-3683

Mailing Address905 Spruce StIrwin, PA 15642-3683 · (724) 864-9595 · Fax (724) 864-9860

Phone(724) 864-9595

Fax(724) 864-9860

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJune 2, 2015

Last NPPES UpdateSeptember 17, 20223 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2022

✔ NPI 1760862171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MD464225

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

905 SPRUCE ST STE 201, Irwin, PA 15642

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Other Identifiers 2

OtherCA3219Railroad Medicare

Medicaid103520428001PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ruba Nicola M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729385604

PECOS Enrollment IDI20180628002062

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

55 services37 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

46 services36 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

37 services25 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

23 services13 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

14 services14 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

14 services14 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390114

Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County

Emergency services Birthing friendly

Excela Health Westmoreland Regional Hospital

Acute Care Hospitals · Greensburg, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390145

Location532 West Pittsburgh StreetGreensburg, PA 15601 · Westmoreland County

Emergency services Birthing friendly

Excela Health Latrobe Hospital

Acute Care Hospitals · Latrobe, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390219

LocationOne Mellon WayLatrobe, PA 15650 · Westmoreland County

Emergency services

Upmc East

Acute Care Hospitals · Monroeville, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390328

Location2775 Mosside BoulevardMonroeville, PA 15146 · Allegheny County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15642 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

98%907 patients4/55-star benchmark: 99%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$62.15 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VINCENT GOLIK FNP-C

Nurse Practitioner